2019 EMT Refresher Instructor Manual

Bariatrics

Situation: 38-years-old, lying supine on floor of kitchen, called for “fall”

B.1.D

Scene Size-up: Safety:

Safe

BSI:

Gloves

Patient weight estimated at 200kg/440lbs

Patients: 1 Mechanism/Nature: NOI Resources: None

Primary Assessment: General Impression: Obese patient on ground Mental Status: Awake and alert Airway: Patent Breathing: 22 per minute Circulation:

Pulse present at wrist, warm/dry, no bleeding

Desired Response: Primary ,Vitals, focused secondary exam.

Full Body Scan: Head:

Unremarkable.

Neck:

Unremarkable

Chest :

Unremarkable

Abdomen:

Unremarkable

Vitals: 1

2

Pelvis:

Unremarkable

Pulse: 96

98

Extremities:

Unremarkable

BP:

162/70

154/88

Posterior :

Unremarkable

Resp:

22

24

SPO2: 94

95

SAMPLE (by family) S:

OPQRST: O:

Pain to lower back

Never had this before

A:

None

P: Q: R:

When I move my lower back

M:

Spiriva, albuterol, Lopressor, metformin

Sharp, piercing

P: L: E:

Asthma, hypertension, diabetes Roast beef sandwich 1 hour ago

None

S: T:

8

Was going to bathroom and slipped on a throw rug –

can’t get up

30 minutes ago

OTHER: This patient will complain of shortness of breath if left supine